KAAK LIVING (NPI# 1417571050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417571050 |
| Entity Type | Organization |
| Organization Name | KAAK LIVING |
| Practice Address |
5938 N 76th Street Milwaukee WI 53218 |
| Mailing Address |
11413 N Meadowbrook Dr Mequon WI 53097-3136 |
| Practice Telephone | 4144064392 |
| Practice Fax Number | 4144882311 |
| Mailing Telephone | 4144064392 |
| Mailing Fax Number | 4144882311 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | MS. LAZANDA D MOORE (OWNER/DIRECTOR) |
| Authorized Official Telephone | 4144064392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| KAAK LIVING ADULT DAY CARE CENTER | Other Name - Individual/Organization |
| KAAK LIVING SUPPORT HOME CARE AGENCY | Other Name - Individual/Organization |
| Street Address |
5938 N 76TH STREET |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| 1902183064 | Malissa L Washington | Registered Nurse | 7748 West Grantosa Drive, Milwaukee, WI 53218 | 2011-11-03 |
| Find all providers in zip 53218 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306463393 | L & L Anchorage Homes Adult Day Center, LLC | Clinic/Center | 6435 W Capitol Dr, Milwaukee, WI 53216-2140 | 2020-06-25 |
| 1134768245 | Kajsiab Senior Center Inc | Clinic/Center | 8421 W Villard Ave, Milwaukee, WI 53225-3503 | 2020-01-06 |
| 1396396701 | Karen Sumlin-gray | Clinic/Center | 9183 N 76th St, Milwaukee, WI 53223-1905 | 2019-09-26 |
| 1972153187 | Bethesda Community Senior Center Inc | Clinic/Center | 2845 W Fond Du Lac Ave, Milwaukee, WI 53210-2628 | 2019-09-19 |
| 1891347852 | Tswv Chao Vang Center LLC | Clinic/Center | 11010 W Hampton Ave, Milwaukee, WI 53225-3821 | 2019-07-10 |
| 1972069003 | Angel Hearts Adult Care Center | Clinic/Center | 6661 W Mill Rd, Milwaukee, WI 53218-1238 | 2019-02-13 |
| 1437629979 | Guardian Angels Adult Day Services | Clinic/Center | 6816 W Brown Deer Rd, Milwaukee, WI 53223-2102 | 2018-11-27 |
| 1528568102 | New Hope Adult Community Center | Clinic/Center | 2433 W Roosevelt Dr, Milwaukee, WI 53209-6640 | 2018-02-20 |
| 1053822627 | K.t. Adult Day Center LLC | Clinic/Center | 3766 N 86th St, Milwaukee, WI 53222-2830 | 2017-10-23 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.